Fillable Printable Cdl30
Fillable Printable Cdl30
Cdl30
CDL 30 Rev. 3/10
State of North Carolina
Department of Transportation
Division of Motor Vehicles
Certification for Waiver of CDL Skills Test for Military Personnel
This form is to be used by active duty military personnel pursuant to G.S. 20-37.13. The form is to be completed by the applicant and
the commanding officer and returned to the CDL Section (919-861-3319); 3117 Mail Service Center, Raleigh, North Carolina 27699-
3117. If the applicant does not meet all of the requirements listed or this document cannot be verified, the applicant will be required to
pass the Commercial Driver License Skills Tests. This form is valid for 30 days from the date of signature by the Commanding
Officer. (Not valid if applicant separates from the military service prior to verification of this form)
A. Applicant Certification
Name (Last) (First) (Middle) (Suffix)
North Carolina License Number: Email Address: Date of Birth:
Residence Address: City: State: Zip Code: Telephone Number:
I certify that I have not at any time during the past two years done any of the following :
a. Had any driver license or driving privilege suspended, revoked, or cancelled;
b. Had any convictions involving any kind of motor vehicle for the offenses listed in G.S. 20-17 or had
any convictions for the offenses listed in 20-17.4;
c. Been convicted of a violation of State or local laws relating to motor vehicle traffic control, other than
a parking violation, which violation arose in connection with any reportable traffic accident; or
d. Refused to take a chemical test when charged with an implied consent offense, as defined in G.S. 20-
16.2
I am a member of the active or reserve component of a branch of the United States armed forces and am
regularly employed in a job requiring the operation of a commercial moto r vehicle, and the applicant
either:
a. Has previously taken and successfully completed a skills test that was administered by a state with a
classified licensing and testing system and the test was behind the wheel in a vehicle representative of
the class and, if applicable, the type of commercial motor vehicle for which the applicant seeks to be
licensed; or
b. Has operated for the two-year period immediately preceding the date of application a vehicle
representative of the class and, if applicable, the type of commercial motor vehicle for which the
applicant seeks to be licensed, and has taken and successfully completed a skills test administered by
the military.
I certify that the statements are true and correct. (Both blocks must be checked in order for the application to be
accepted) Any falsification of this document may result in legal action against anyone associated with the
completion of this form.
Signature
Date
CDL 30 Rev. 3/10
B. Commanding Officer Certification
Certification must be made by the applicant’s Commanding officer. Any falsification of this
document may result in legal action against anyone associated with the completion of this document.
Please indicate the vehicle classification this applicant is qualified to operate:
CLASS A Any combination of vehicles with a gross vehicle weight rating, GVWR, of 26,001 pounds or
more, provided the GV WR of t he vehi cle or vehi cl es bei n g t owe d is i n excess of 10,000
pounds.
Was combination vehicle tractor and trailer? Yes
No
Was combination vehicle truck and trailer? Yes
No
Was the vehicle equipped with air brakes? Yes
No
CLAS S B Any single vehicle with a GVW R of 26, 001 pounds or more, and any such vehicle towing a
vehicle not in excess of 10,0 0 0 pou nds.
Was the applicant qualified to operate vehicles designed
to carry 16 or more persons, including the driver?
Yes
No
Was the vehicle equipped with air brakes? Yes
No
I certify that ______________________________________________ has operated vehicles
Name of Applicant
representative of the classification listed on this application for at least two years prior to the
date of this application.
Name (Last) (First) (Middle) (Suffix)
Office Telephone Numbe r Office Email Address: Rank
Business Address: City: State: Zip Code: Telephone Number:
Signature: Date:
DMV HQ Use Only: Approved By: Disapproved By:
